A patient has asked why she needs to exercise. The nurse tells her that if the diabetic patient exercises, then the insulin requirement

decreases

increases

remains unchanged

is changed to regular insulin

Answer and Explanation

The Correct Answer is A

A. Decreases: Exercise increases the body's sensitivity to insulin, allowing cells to use glucose more effectively. As a result, a diabetic patient may need less insulin after exercise to maintain normal blood glucose levels.

B. Increases: Exercise generally lowers the body's insulin requirements, not increases them. This is because exercise improves insulin sensitivity, making it easier for the body to manage glucose.

C. Remains unchanged: Exercise has a significant physiological impact on glucose metabolism and insulin sensitivity. To maintain optimal blood glucose control, the insulin regimen is often lowered, in conjunction with a regular exercise program.

D. Is changed to regular insulin: Exercise does not specifically require a change to regular insulin. Exercise can affect the overall amount of insulin needed, but it does not necessarily require a change in the type of insulin used.

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Correct Answer is A

Explanation

A. Turn the patient on his side: After administering glucagon to treat severe hypoglycemia, the nurse should turn the patient to their side to prevent aspiration if the patient vomits as they regain consciousness. This is a preventive measure to protect the airway until he wakes up.

B. Administer a second dose of glucagon: Glucagon is usually given once in emergency situations to treat severe hypoglycemia. A second dose is not needed unless the patient remains unresponsive after 15 minutes, but the priority action is to monitor the patient closely after the first dose.

C. Prepare for intubation: There is no immediate evidence suggesting the need for intubation. Jacob’s respiratory rate (12/min) and oxygen saturation (96%) are within reasonable limits. The priority is to monitor his response to glucagon and keep the airway clear.

D. Give a high-protein snack: A high-protein snack should only be given after the patient is awake and alert and able to swallow safely. The immediate priority is to ensure the patient’s safety and monitor their response to glucagon.

A. The patient is demonstrating improved control of hyperglycemia over the last several months. B. The patient has less need for insulin. C. The patient is experiencing a reduction in insulin sensitivity. D. The patient has been less compliant with the prescribed treatment regimen.

Correct Answer is A

Explanation

A. The patient is demonstrating improved control of hyperglycemia over the last several months: The HbA1c level reflects the average blood glucose level over the past 2-3 months. A drop from 9.4% to 5.4% indicates a significant improvement in blood sugar control.

B. The patient has less need for insulin: A drop in HbA1c indicates improved blood sugar control, but it doesn't directly indicate that the patient has reduced insulin needs. Insulin requirements can still vary depending on the individual’s treatment plan and overall health.

C. The patient is experiencing a reduction in insulin sensitivity: Improved control of hyperglycemia (as evidenced by the drop in HbA1c) suggests better insulin sensitivity, not a reduction. Insulin sensitivity typically improves with better glucose control.

D. The patient has been less compliant with the prescribed treatment regimen: A lower HbA1c suggests better compliance with treatment; usually indicates successful management of blood glucose levels, which often results from adhering to the prescribed regimen.

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A patient has asked why she needs to exercise. The nurse tells her that if the diabetic patient exercises, then the insulin requirement

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse notes that the HbA1c level of an assigned patient demonstrated a drop from 9.4% to 5.4%. What inference can best be made about this patient?

Correct Answer is A

Explanation

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